scholarly journals Anatomical and subjective success rates of endonasal dacryocystorhinostomy over a seven-year period

Eye ◽  
2016 ◽  
Vol 30 (11) ◽  
pp. 1458-1461 ◽  
Author(s):  
N Beshay ◽  
R Ghabrial
Keyword(s):  
Success Rates ◽  
Subjective Success

scholarly journals Results of Endoscopic Dacryocystorhinostomy under Local Anesthesia with Minimal Sedation

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Woong Chul Choi ◽  
Ji-Sun Paik ◽  
Sang Hee Doh
Keyword(s):  
Postoperative Pain ◽  
Local Anesthesia ◽  
Patient Questionnaire ◽  
Success Rates ◽  
Nerve Blocks ◽  
Wound Site ◽  
Surgical Success ◽  
Endoscopic Dacryocystorhinostomy ◽  
Pain Scores ◽  
Subjective Success

Purpose. We evaluated the tolerability and efficacy of endoscopic dacryocystorhinostomy (Endo-DCR) in patients treated in the leaning position and under local anesthesia with minimal sedation (LAS). Study Design. Questionnaire to determine subjective success of Endo-DCR. Methods. From May 2013 to August 2014, a total of 95 eyes with epiphora presented to the Myoung Eye Plastic Surgery Clinic in Seoul, Korea, and were treated with Endo-DCR under LAS. Three nerve blocks were administered to achieve local anesthesia. Postoperatively, the wound site was packed with Nasopore to control bleeding and promote wound healing. Outcome measures included a patient questionnaire completed on postoperative day 7 to evaluate intraoperative and postoperative pain based on the VAS (0 to 10). Results. Mean intraoperative and postoperative pain scores were 1.03 and 1.64, respectively, for 95 eyes. Of the 95 eyes treated, the patients in 82 eyes (86.31%) reported that they would prefer LAS over GA for a repeat Endo-DCR. The subjective and objective surgical success rates were 90.14% and 95.77%, respectively. Conclusions. Endo-DCR carried out under LAS with the patient in the leaning position is more useful, efficient, and feasible than Endo-DCR performed under GA with the patient in the supine position.

scholarly journals Objective and subjective outcomes following external dacryocystorhinostomy and inferior tear duct stenting in patients with acquired lacrimal drainage system obstruction

2021 ◽  
Author(s):  
Julia Prinz ◽  
Niklas Plange ◽  
David Kuerten ◽  
Hannah Schellhase ◽  
Antonis Koutsonas ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Drainage System ◽  
Objective Evaluation ◽  
Symptom Improvement ◽  
Success Rates ◽  
Subjective Success ◽  
Clinical Scoring ◽  
External Dacryocystorhinostomy ◽  
Subjective Outcomes ◽  
Time Point

Abstract Background: We compared objective and subjective outcomes of dacryocystorhinostomy (DCR) vs. inferior tear duct stenting (stenting) in acquired infrasaccal stenosis.Methods: In this retrospective study 114 eyes of 100 patients who underwent 50 DCRs and 64 stentings between August 2009 and September 2018 were evaluated. Subjective success was quantified by interviewing the patients (complete, some or no improvement) at 10 days, 3 months and 17.2±17.2 months postoperatively. Success was objectified by postoperative clinical examinations at 10 days, 3 months and 9.3±7.8 months postoperatively and clinical scoring. Complete improvement was defined as complete success. Complete and some improvement was considered qualified success. Intra- and postoperative complications were evaluated.Results: At the last time point, DCR (78.0%) had significantly higher complete subjective success rates than stenting (59.4%, p=0.044). Qualified subjective success rates were comparable (DCR 88.0% vs. stenting 76.6%, p=0.147). DCR (76.0%) had significantly higher complete objective success rates than stenting (51.6%, p=0.006) and similar qualified objective success rates (88.0% vs. 75.0%, p=0.097).There were no significant differences between subjective and objective success rates at any time point (p=0.125-1.0). At the last time point, patients with the stent left in place for at least 4 months had significantly higher objective qualified success rates (92.7%) than those who had the stent removed (43.5%, p<0.001; mean removal interval 2.9±1.0 months). The stent-in-place group had comparable complete (obj. p=0.067, subj. p=0.344) and qualified (obj. p=0.506, subj. p=0.556) success rates to DCR at the last time point, while the stent-removal group performed worse (complete: obj. p=0.007, subj. p=0.031; qualified: obj. p=0.002; subj. p<0.001). No major intra- or postoperative complications occurred.Conclusion: DCR lead to high subjective and objective success rates. Stenting can be a minimally invasive alternative to DCR, particularly when the stent remains in place. Subjective and objective evaluation of symptom improvement showed high agreement.

scholarly journals Use of Surgisis for Treatment of Anterior and Posterior Vaginal Prolapse

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Sara Armitage ◽  
Elvis I. Seman ◽  
Marc J. N. C. Keirse
Keyword(s):  
Success Rate ◽  
De Novo ◽  
Pelvic Organ ◽  
Reoperation Rate ◽  
Synthetic Mesh ◽  
Success Rates ◽  
Posterior Compartment ◽  
Repeat Surgery ◽  
Subjective Success

Aim.To evaluate the anatomical success and complication rate of Surgisis in the repair of anterior and posterior vaginal wall prolapse.Methods.A retrospective review of 65 consecutive Surgisis prolapse repairs, involving the anterior and/or posterior compartment, performed between 2003 and 2009, including their objective and subjective success rates using the pelvic organ prolapse quantification (POPQ) system.Results.The subjective success rate (no symptoms and no bulge beyond the hymen) was 92%, and the overall objective success rate (no subsequent prolapse in any compartment) was 66% (43 of 65). The overall reoperation rate for de novo and recurrent prolapse was 7.7% with 3 women undergoing repeat surgery at the same site (anterior compartment). No long-term complications occurred.Conclusions.Surgisis has a definite role in the surgical treatment of prolapse. It may decrease recurrences seen with native tissue repair and long-term complications of synthetic mesh. Its use in posterior compartment repair in particular is promising.

Voice Therapy With Seniors: Attendance, Outcomes, and Associated Patient Characteristics

2019 ◽  
Vol 4 (5) ◽  
pp. 814-824 ◽  
Author(s):  
Bonnie E. Smith ◽  
Ruth Huntley Bahr ◽  
Hector N. Hernandez
Keyword(s):  
Outcome Data ◽  
Voice Therapy ◽  
Similar Data ◽  
Success Rates ◽  
Reflux Symptom Index ◽  
Voice Change ◽  
Related Factors ◽  
Symptom Index ◽  
Younger Patients ◽  
Unsuccessful Treatment

Purpose The purpose of this study was to determine the attendance and success rates for seniors in voice therapy, identify any contributing patient-related factors, and compare results to existing findings for younger patients. Method This retrospective study included information from the voice records of 50 seniors seen by the same speech-language pathologist in a private practice. Analysis of attendance and outcome data divided participants into 6 groups. Outcomes for Groups 1–3 (64% of patients) were considered successful (positive voice change), while outcomes for Groups 4–6 (36% of patients) were considered unsuccessful. These data were compared to similar data collected for younger adults in a previous study. Results The attendance and success rates for seniors in this study were higher than those previously reported for younger patients. Further consideration of patient factors revealed that reports of increased stress, Reflux Symptom Index scores > 13, and higher Voice Handicap Index functional subscale scores were significant in distinguishing between patients in the successful and unsuccessful treatment outcome groups. Conclusions The relatively high attendance and success rates among this sample of seniors suggest the desire to achieve voice improvement does not diminish with age, and chances for success in voice therapy among nonfrail seniors may be greater than for younger patients.

1548: Racial Disparities in Kidney-Transplant Graft Outcomes, with a Proposal to Improve Graft Success Rates

2005 ◽  
Vol 173 (4S) ◽  
pp. 419-419
Author(s):  
Constance Marks ◽  
Carlumandarlo E.B. Zaramo ◽  
Joan M. Alster ◽  
Charles Modlin
Keyword(s):  
Racial Disparities ◽  
Kidney Transplant ◽  
Success Rates ◽  
Graft Success

Strict IVF Restrictions Could Lower Success Rates

2006 ◽  
Vol 36 (24) ◽  
pp. 40
Author(s):  
KATE JOHNSON
Keyword(s):  
Success Rates

ITI with high-dose FIX and combined immunosuppressive therapy in a patient with severe haemophilia B and inhibitor

2009 ◽  
Vol 29 (02) ◽  
pp. 155-157 ◽  
Author(s):  
H. Hauch ◽  
J. Rischewski ◽  
U. Kordes ◽  
J. Schneppenheim ◽  
R. Schneppenheim ◽  
...  
Keyword(s):  
Nephrotic Syndrome ◽  
Immunosuppressive Agents ◽  
Tolerance Induction ◽  
Intravenous Immunoglobulins ◽  
Factor Ix ◽  
High Dose ◽  
Allergic Reactions ◽  
Success Rates ◽  
Serious Infections ◽  
History Of

SummaryInhibitor development is a rare but serious event in hemophilia B patients. Management is hampered by the frequent occurrence of allergic reactions to factor IX, low success rates of current inhibitor elimination protocols and the risk of development of nephrotic syndrome. Single cases of immune tolerance induction (ITI) including immunosuppressive agents like mycophenolat mofetil (MMF) or rituximab have been reported. We present a case of successful inhibitor elimination with a combined immune-modulating therapy and high-dose factor IX (FIX). This boy had developed a FIX inhibitor at the age of 5 years and had a history of allergic reactions to FIX and to FEIBA→. Under on-demand treatment with recombinant activated FVII the inhibitor became undetectable but the boy suffered from multiple joint and muscle bleeds. At the age of 11.5 years ITI was attempted with a combination of rituximab, MMF, dexamethasone, intravenous immunoglobulins and high-dose FIX. The inhibitor did not reappear and FIX half-life normalized. No allergic reaction, no signs of nephrotic syndrome and no serious infections were observed.

Entscheidungsprozesse beim Übersetzen: Routine und Reflexion bei Novizen und Berufsübersetzern

Fachsprache ◽  
2017 ◽  
Vol 32 (3-4) ◽  
pp. 100-121
Author(s):  
Friederike Prassl
Keyword(s):  
Decision Making ◽  
Success Rate ◽  
Knowledge Integration ◽  
Popular Science ◽  
Failure Rates ◽  
Science Text ◽  
Success Rates ◽  
Preliminary Results ◽  
Decision Making Processes ◽  
Cognitive Involvement

This article focuses on the decision-making processes involved in research and knowledge integration in translation processes. First, the relevance of decision taking intranslation is discussed. Second, the psychology of decision making as seen by Jungermann et al. (2005) is introduced, who propose a categorization of decision-making processes intofour types: “routinized”, “stereotype”, “reflected” and “constructed”. This classification is then applied to the translations by five professional translators and five novices of five segments occurring in a popular-science text. The analysis reveals that the decision-making types are distributed differently among students and professional translators, which also has to be seen against the background of whether the decisions made were successful or not. The preliminary results of this study show that students resort to reflected decisions in most cases, but with a low success rate. Professionals achieve a higher success rate when making reflected decisions. As expected, they also make more routinized decisions than students. The professionals’ success rates improve with increasing cognitive involvement, while their failure rates are relatively high when making routinized decisions, an aspect worthwhile considering in translation didactics.

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